HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 12t28t16 Permit Number:
Building Permit Application
Plonning ond Development Services
Building ond Code Regulation Division
2300 Virginia Avenue, Fort pierce FL 349g2
Phone: (172) 462-ISs3 Fax: (772) 462-1,578 Commercial Residential x
PERMIT APPL'lcATloN FoR: To Select from dropbox, click arrow at the end of tine
PROPOSED IM PROVEM ENT LOCATION :
Address: 5047 N HlcHWAy 41A #203
Legal Description:
Property Tax lD #:
Site Plan Name:
1414-61 0-0003-000-8
Lot No.
Block No,
Project Name:
Setbacl<s Front Right -Side;Left Side:
DETAILED DESCRIPTION OF WORI(:
LIKE FOR LIKE CHANGEOUT
3 TON 14.70 EER WATER SOURCE HEAT PUMP (NO ELECTRIC HEAT/KW)
CONSTRUCTION I N FORMATION :
rs perm tt -apptv:
[--lcas nipins
l-] sprint<ters I Sh utte rs
Generato r
nl Windows/Doors
Roof
Total Sq. Ft of Construction:Sq, Ft, of First Froor:
Utilities: l-l r**ur. I r-*Cost of Construction. S 4796.00 Building Height:
CONTRACTOR:
Name p4u!r!9LAtN
Name: CHRIS LANGET
Address:5047 N H|GHWAY AjA #203 Company: SEA COAST A/C
City: FT PIERCE Address: 3'108 INDUSTRTAL 31st STREET
Zip Code: 34949 City: FT PIERCE Stal.e; FLphone Ns.772 409-4634 ZiP Code: 34946 Vu*. 772-466-3053
phone y1s. 772-466-2400
Fill in fee simple Title Holder on next page ( if different I e -vuil, DANTSEACoASTATR@A6L.CoM
from the Owner listed above)State or County License: CMC03542'1
rt varue of constru*-ion i. $r5b0;;ore, a RECoRDED Noti.u of brnmun.u1n"nt i, *q,rir"d.
OWN ER/LESSEE:
BONDING COMPANY:
Name:
_Not Applicable
Address:
City:
P hone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St Lucie Countv makes no representation that is El?ltlng a permit will a,uthorize the permit holder to build the subiect structurewhich ls in conflict with any.,a'pplicati.le Hor;;orlhers Asiociation.rules, bylaws or anQ covenants that mav restrict or prohibrt suchstructure, Please consult With'your uome owneii Asio;i-aiioi';;b ;.;i6;'i;;i,I;"d'fo;;ni'i;i+i;tk;;;-,,Jriiin'ii r'v idpii'. "
ln consideration of the granting of this requested permit, I do hereby agree that lwill, in all respects, perform the workin accordance with the approved plans, the Florida Building Codes and 5t. Lucte countv Amendments,
The following building permit applications are exempt from undergoing a full concurrency review: room addition.s,accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING To oWNER: Your failure to Record a Notice of commencement may result in your paying twice for
flPj:":n"Xj:l?-v9rl_,qlo?Ftty A Notice of ,commencemJnt must oe ieio'rouo ino poiteo'onir..'" ioniit*
!:1":^,1^g^flr:lll:p".jlo1 t[vciu intend to
"q.1,; iinrniine, ionsutt wi*, ren j"i ;r;;';ii;;;; il;j;;commenc worl< or recordins vorrr Notica nf C monl
H':9tr[1, :;"UU hT'li# :]l' !8'fl[T;'" "
Contractor as Agent Owner
STATE OF FLORIDA
COUNTY OF srLUCIE
drRts rRtcer
S
STATE OF FLORIDA
COUNTY OF srLUcrE
The forgoing instzument was acknowledeed before me
trrisl l auy or vuuL-ld)r , zi lu ov
CHRIS LANGEL
Personally l(nown
Type of ldentification Produced
Personally l(nown x OR produced ldentification
Type of ldentification proouceo
Commission No. FFe6145s (Seal)
acKnowl edgl ng
ignature of Notary Public- State-of Florida )
Revised 0711512014 MY COMMISSION # FFS6145S
EXPTRES February 16' 2020
FhridaNdatuSe'vlde.cgnl
'A'iFildJ EXPIRES renruarv t6Jo2o
1407t.l.qfr{)'i5J FbridaNolarySo'vice.c€nr
REVIEWS
t:
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS